Document Detail

Prenatal diagnosis of fetal growth restriction.
MedLine Citation:
PMID:  15691774     Owner:  NLM     Status:  MEDLINE    
Fetal growth restriction is one of the most challenging obstetric problems. Due to confusing terminology, there is an obvious lack of uniform diagnostic criteria. At present, most authors do not distinguish between the terms 'small for gestational age' (SGA) and 'intra-uterine growth restriction' (IUGR). These two clinical entities are not the same. The term 'SGA' should be used for an infant who has failed to achieve a weight threshold (usually defined as the 10th percentile). Conversely, an IUGR infant has, by definition, not reached his/her genetic growth potential due to an insult that has occurred in utero. An IUGR fetus may or may not be SGA but it always implies a pathological process. Clinicians tend to manage both conditions in the same way by delivering affected cases, often by elective Caesarean section and often prematurely. This strategy obviously represents an overtreatment. This chapter will discuss the various aetiologies of small fetuses and will provide the reader with diagnostic tools to distinguish between subtypes.
Christian Bamberg; Karim D Kalache
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in fetal & neonatal medicine     Volume:  9     ISSN:  1744-165X     ISO Abbreviation:  -     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2005-02-04     Completed Date:  2005-06-16     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  101240003     Medline TA:  Semin Fetal Neonatal Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  387-94     Citation Subset:  IM    
Klinik für Frauenheilkunde und Geburtshilfe, Charité, Campus, Mitte, Schumannstrasse 20/21, 10117 Berlin, Germany.
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MeSH Terms
Fetal Development / physiology
Fetal Growth Retardation / classification,  etiology,  ultrasonography*
Gestational Age
Infant, Newborn
Infant, Small for Gestational Age / physiology*
Prenatal Diagnosis

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